Crisis resource management training for an anaesthesia faculty: a new approach to continuing education
Crisis resource management training for an anaesthesia faculty: a new approach to continuing education
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DOI：
10.1046/j.1365-2923.2004.01696.x
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发表时间：
2004-01-01
影响因子：
6
通讯作者：
Cooper, JB
中科院分区：
文献类型：
--
作者：
Blum, RH;Raemer, DB;Cooper, JB
背景：人为错误和系统故障继续在卫生保健不良后果中发挥重要作用。麻醉危机资源管理通过教授关键事件的行为技能来解决许多患者安全问题，但它尚未被系统地用于教授经验丰富的教师。方法在我院麻醉专业开设麻醉危机资源管理课程。课程的目标是了解和提高参与者对危机资源管理（CRM）技能的熟练程度，并学习在关键事件发生后向居民汇报的技能。通过调查，测量目标评估接受程度，效用和需要经常性培训后立即课程。大约一年后，随着对困难或关键事件管理的自我感知变化，这些又被测量了一次。结果评价较高的课程在整体课程质量、现实性、汇报和教学呈现等方面均获得好评。课程有用性、客户关系管理原则、汇报技巧和沟通能力在课程结束后和一年后都得到了很高的评价。大约一半的教职员工在课程结束后报告了一个困难或关键的事件；在接受调查的9个自我报告的CRM绩效标准中，所有人都声称他们的CRM非技术技能得到了改善。结论创设了一门独特的、高评价的麻醉学课程；参与该计划使教职员工有资格获得医疗事故保费减免。参与者在最重要的困难或关键事件中自我报告的CRM行为表明了绩效的提高。这些数据提供了间接证据，支持应该更广泛地推广这类培训的论点，尽管需要更明确的措施来改善结果。
Background Human error and system failures continue to play a substantial role in adverse outcomes in health care. Anaesthesia crisis resource management addresses many patient safety issues by teaching behavioural skills for critical events but it has not been systematically utilized to teach experienced faculty.Methods An anaesthesia crisis resource management course was created for the faculty of our medical school's anaesthesia teaching programmes. The course objectives were to understand and improve participants' proficiency in crisis resource management (CRM) skills and to learn skills for debriefing residents after critical events. Through surveys, measurement objectives assessed acceptance, utility and need for recurrent training immediately post-course. These were measured again approximately 1 year later along with self-perceived changes in the management of difficult or critical events.Results The highly rated course was well received in terms of overall course quality, realism, debriefings and didactic presentation. Course usefulness, CRM principles, debriefing skills and communication were highly rated immediately post-course and 1 year later. Approximately half of the faculty staff reported a difficult or critical event following the course; of nine self-reported CRM performance criteria surveyed all claimed improvement in their CRM non-technical skills.Conclusions A unique and highly rated anaesthesia faculty course was created; participation made the faculty staff eligible for malpractice premium reductions. Self-reported CRM behaviours in participants' most significant difficult or critical events indicated an improvement in performance. These data provide indirect evidence supporting the contention that this type of training should be more widely promoted, although more definitive measures of improved outcomes are needed.